Rhinocerebral Mucormycosis in Woman with Uncontrolled Diabetes

June 3, 2014

What's the connection between type 2 diabetes and rhinocerebral mucormycosis? Here's a case in point.

A 67-year-old woman with type 2 diabetes presents with delirium secondary to diabetic ketoacidosis. She also has headache, facial and left eye pain, nasal congestion, and blurry vision. A CT scan shows general swelling of the turbinates with maxillary congestion and air-fluid level on the ethmoidal sinus. The diagnosis is rhinocerebral mucormycosis.
 

 

Which of the following statements about this fungal infection is/are true?